After Bone Graft

In addition to the general postoperative instructions, we would like to emphasize a few points:

Your bone graft is made up of many particles.  You may find some small granules in your mouth for the first several days.  So not be alarmed by these.  It’s normal to have some of them come out of the graft site and into your mouth.  There are some things you can do to minimize the amount of particles that become dislodged:

  • Do not vigorously rinse or spit for 3-5 days.  Gentle rinsing is encouraged after the first 24 hours.
  • Do not apply pressure with your tongue or fingers to the grafted are, as the material is moveable during the initial healing.
  • Do not lift or pull on the lip to look at the sutures.  This can actually cause damage to the wound site and tear the sutures
  • Do not smoke or use smokeless tobacco.  Smoking greatly inhibits healing, especially in the graft site.
  • Do not drink liquids through a straw.
  • Take your antibiotics as directed and until finished.

For the first day, we would suggest letting the blood clot stabilize and not even rinse your mouth.  Following the first day, gentle rinsing would be advised, but not too vigorously.  Do not wear your partial denture or flipper until the surgeon tells you to.  There may be instances where he may need to adjust your partial or flipper so it does not put pressure on the graft while it is healing.  We do encourage you to wear it once your surgeon has given the approval, as it will help contour the soft tissue for a more natural looking appearance when your final crown is placed.  You will be prescribed pain medication, to take as needed for pain.  Tylenol can be used for further pain relief as needed.  Use the strong pain reliever (i.e. Norco) with food only for severe pain.  Tylenol should be discontinued if you decide to use the stronger medication.